How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $151.36 Median $416.87 Typical High $2,041.74 | Facility | None | $151.36 | $416.87 | $2,041.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $416.87 | Professional | None (both parts) | $151.36 | $151.36 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $128.82 | Professional | 26 · Professional part | $47.86 | $47.86 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $102.33 Typical High $275.42 | Professional | TC · Technical part | $97.72 | $102.33 | $275.42 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $194.98 Median $218.78 Typical High $407.38 | Professional | None (both parts) | $194.98 | $218.78 | $407.38 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $69.18 Typical High $69.18 | Professional | 26 · Professional part | $61.66 | $69.18 | $69.18 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $147.91 Typical High $194.98 | Professional | TC · Technical part | $131.83 | $147.91 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $1,148.15 Typical High $1,318.26 | Facility | None | $467.74 | $1,148.15 | $1,318.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $316.23 Typical High $794.33 | Professional | None (both parts) | $194.98 | $316.23 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $70.79 Typical High $223.87 | Professional | 26 · Professional part | $44.67 | $70.79 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $245.47 Typical High $537.03 | Professional | TC · Technical part | $131.83 | $245.47 | $537.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $162.18 Median $173.78 Typical High $380.19 | Professional | None | $162.18 | $173.78 | $380.19 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $275.42 Typical High $575.44 | Professional | None (both parts) | $141.25 | $275.42 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $67.61 Typical High $181.97 | Professional | 26 · Professional part | $35.48 | $67.61 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $204.17 Typical High $389.05 | Professional | TC · Technical part | $100.00 | $204.17 | $389.05 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $75.86 Typical High $95.50 | Professional | 52 · Reduced service | $69.18 | $75.86 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $30.20 Typical High $38.02 | Professional | 53 · Discontinued | $27.54 | $30.20 | $38.02 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $120.23 Median $128.82 Typical High $128.82 | Professional | CT · Older CT scanner | $120.23 | $128.82 | $128.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $120.23 Typical High $120.23 | Professional | FX · Film X-ray | $112.20 | $120.23 | $120.23 |
Where Washington, DC sits
The same service costs 5.9 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Washington, DC· 34th of 51
$219
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.